INSTRUCTIONS
Please complete this application and return it with a current photograph and copy of current license to practice law to: Mobile Bar Association, P.O. Drawer 2005 Mobile, Alabama 36652; hand deliver to 153 Government Street; fax 251/433-9973. The Bar Association has a “Bar Buddy” program to help new members get acclimated socially and professionally on an informal level. If you participate, a bar member will regularly touch base with you and be available for advice.

Contact Information

First Name (*)

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Last Name (*)

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Middle Name

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Email (*)

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Street Address (*)

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City (*)

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State (*)

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Zip (*)

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Alabama State Bar I.D. # (*)

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General Information

Date of Birth

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Name of Spouse

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List the States in which you have been admitted to the bar and year of admission. (*)

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List the names and locations of law schools attended, law degrees conferred upon you, and the year of the degree. (*)

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Are you actively engaged in the general, private practice of law? (*)



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If so, for how long?

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Firm

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Mailing Address

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City

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State

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Zip

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Physical Address

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City

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State

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Zip

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Telephone

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Fax

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Email

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Other


If you are not engaged in the general, private practice of law, please state the nature of your employment or vocation.

Position

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Employer or Business

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Mailing Address

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City

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State

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Zip

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Telephone

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Fax

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Email

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Has your license to Practice law at any time been suspended or revoked, have you received any disciplinary action by any Bar Association, or have you been suspended from practicing before any court? (*)



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If yes, please give full details:

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If your license to practice law HAS ever been suspended, revoked, etc. has your license been reinstated? (*)



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If so, when?


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Membership Type (*)






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If you participate, a bar member will regularly touch base with you and be available for advice. Would you like to participate? (*)



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